Individual
DR. BRADLEY TYSEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2120 S 700 E, STE I, SALT LAKE CITY, UT 84106-1894
(801) 487-0760
Mailing address
2120 S 700 E, STE I, SALT LAKE CITY, UT 84106-1894
(801) 487-0760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8586670-9922
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2012
Last updated
06/10/2013
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